Living in the Shadow: An Example of the Social Learning Theory of Suicide

In this summarized paper, Lester discusses his social learning theory of suicidal behavior using the case of Ernest Hemingway’s younger brother, Leicester as an example. Leicester’s father, Ernest, & Leicester all shot themselves when they were depressed & suffering from diabetes. Even if we grant the possibility of a genetic predisposition to depression, Leicester appears […]

Co-Alcoholism: Recognizing a Treatable Illness

Co-alcoholism is defined as ill health or maladaptive behaviour that is associated with living, working with, or otherwise being close to an alcoholic. The author feels that the clinician should be alert for alcoholism in patients presenting with anorexia nervosa, bulimia, brittle diabetes, or other poorly controlled chronic illnesses; psychosomatic disorders, & psychiatric illnesses, including […]

Insulin and the Suicidal Patient

In this letter to the editor, the authors present 2 case histories. Both women had attempted suicide by insulin overdose. In the first case, a 21-year-old, without a previous history of medical or psychiatric illness, attempted suicide when she was unable to find work after being fired from her previous job. In the second case, […]

Attempted Suicide by Insulin Injection Treated With Artificial Pancreas

An elderly woman with longstanding insulin dependent diabetes tried to commit suicide by injecting 400 units of insulin subcutaneously (usual total daily dose 56 units). She was admitted to hospital within the hour & treated with an artificial pancreas. This avoided the usual difficulty of the physician having to cope with rapid & substantial fluctuations […]

Duration of Hypoglycemia and Need for Intravenous Glucose Following Intentional Overdoses of Insulin

The authors discuss their findings from 17 suicide attempts with insulin in 15 patients seen at Harbor-UCLA Medical Centre for the 10-year period 1971-1981. A suicidal insulin overdose was considered to be 100 units in a non-diabetic or twice the daily dose in a diabetic using insulin. Significant findings were high risk of similar future […]

Indirect Self-Destructive Behavior in Diabetic Patients

This controlled study suggests that certain diabetics are uncooperative, passive-aggressive, & antisocial, to their own detriment.

Attempted Suicide With Insulin

Reports of attempted suicide with insulin recorded in the literature are uncommon. In 1963, Munck and Quaade reported three cases and referred to thirteen others. This article records four attempts, two by the same person, treated in the General Hospital, West Hartlepool.

Possible Childhood Precursors of Suicide Among Epileptic Individuals

Describes a study which shows that epileptic children, compared to healthy or diabetic children, have low self-esteem, a sense of lacking control & of helplessness, & have many family & social disturbances. A number of studies indicate that the completed suicide rate in epilepsy is roughly 3 times that in the general population, perhaps due […]

Self Poisoning in Diabetic Patients

This is a prospective study on the pattern & complications of deliberate self-poisoning among diabetic patients referred to the National Poisons Information Service, London, during the years 1978 & 1979. Of 386 cases of overdosage in diabetics, 18 involved deliberate overdosage of insulin. The majority of patients however took a range of non-diabetic drugs & […]

A Medical Approach to Suicide Prevention

In England & Wales during 1970, suicide caused 1 in 10 deaths within the age group 25-34, was among the first ten most important causes of death for those aged 45-64 & in those over 65 it was a substantial cause of death. In fact, mortality from suicide ranks in numerical importance with tuberculosis, peptic […]